Organization Active NPI

Skinner and Associates P.C.

  • Psychologist
  • Newnan, GA
National Provider Identifier
1245429984
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1295 Issued in GA
Legal business name
SKINNER AND ASSOCIATES P.C.
Practice address
66 Farmer St
Newnan, GA 30263-1437
Phone
(770) 253-3512
NPI assigned
Oct 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Walter Winston Skinner, EDD GA LICENSE 1295
Title
Psychologist
Phone
(770) 253-3512

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 1295 GA Primary

Addresses

Primary practice location

66 Farmer St
Newnan, GA 30263-1437

Mailing address

66 Farmer St
Newnan, GA 30263-1437
Phone (770) 253-3512

Other identifiers 2

IdentifierTypeStateIssuer
IPO 40380OtherGABCBS
R-12544OtherGAUPIN

National Provider Directory

National Provider Directory

Locations

4729 Armour Rd
Columbus, GA 31904
Phone (706) 317-2000

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1245429984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 FARMER ST",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302631437",
            "telephone_number": "770-253-3512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 FARMER ST",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302631437",
            "telephone_number": "770-253-3512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKINNER AND ASSOCIATES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "WINSTON",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "770-253-3512",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD GA LICENSE 1295"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "GA",
            "license": "1295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "IPO 40380",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "R-12544",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.